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Prospective Multicentric Randomized Study of Glivec® in Advanced GIST Expressing c-Kit: Interruption After 5 Years vs Maintenance
This study is currently recruiting participants.
Verified by Centre Leon Berard, October 2007
First Received: August 21, 2006   Last Updated: November 1, 2007   History of Changes
Sponsor: Centre Leon Berard
Collaborator: Institut Gustave Roussy
Information provided by: Centre Leon Berard
ClinicalTrials.gov Identifier: NCT00367861
  Purpose

Gastrointestinal stromal tumors (GISTs) are associated with a dismal prognosis in localized and advanced phase with a major resistance to conventional chemotherapy agents. Virtually all malignant GISTs actually harbor activating mutations of the KIT pathway in the tumor cells, leading to ligand-independent activation of KIT tyrosine kinase activity and tumor growth in vitro. Glivec® inhibits KIT and exerts a major antitumor efficacy in vivo in patients with advanced GIST. Glivec® is generally pursued until progression or intolerance. The optimal duration of treatment with Glivec® remains unknown. The objective of this study is to determine the feasability of Glivec® treatment interuption with reintroduction at progression in GIST patients.


Condition Intervention Phase
Sarcoma
Gastro-Intestinal Stromal Tumors (GIST)
Drug: interruption of Glivec®
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Dose Comparison, Parallel Assignment, Efficacy Study
Official Title: A Prospective Multicentric Randomized Study of Glivec® in Patients With Advanced Gastrointestinal Stromal Tumors Expressing c-Kit Comparing Treatment Interruption After 5 Years vs Treatment Maintenance

Resource links provided by NLM:


Further study details as provided by Centre Leon Berard:

Primary Outcome Measures:
  • Progression free survival

Secondary Outcome Measures:
  • Overall survival
  • Response rate
  • Toxicity

Estimated Enrollment: 564
Study Start Date: May 2002
Estimated Study Completion Date: May 2018
Arms Assigned Interventions
interruption of Glivec®: Experimental Drug: interruption of Glivec®
interruption of Glivec®

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patients 18 years of age or over.
  2. Histologically documented diagnosis of malignant GIST.
  3. Immunohistochemical documentation of c-kit (CD117) expression either by the primary tumor or metastases using the DAKO assay.
  4. Performance status 0,1, 2, 3 (ECOG)
  5. Adequate end organ function, defined as the following: total bilirubin < 1.5 x ULN, SGOT and SGPT < 2.5 x UNL (or < 5 x ULN if hepatic metastases are present), creatinine < 1.5 x ULN, ANC > 1.0 x 109/L, platelets > 100 x 109/L.
  6. Female patients of child-bearing potential must have negative pregnancy test within 7 days before initiation of study drug dosing. Post menopausal women must be amenorrheic for at least 12 months to be considered of non-childbearing potential. Female patients of reproductive potential must agree to employ an effective barrier method of birth control throughout the study and for up to 2 weeks (according to updated Invest. Brochure) following discontinuation of study drug.
  7. Written, voluntary, informed consent.

Exclusion Criteria:

  1. Patient has another malignant tumor in CR<3 years (except if the other primary malignancy is inactive and not requiring active intervention). Previous basal cell skin cancer or a cervical carcinoma in situ are allowed.
  2. Patient with Grade III/IV cardiac problems as defined by the New York Heart Association Criteria. (i.e., congestive heart failure, myocardial infarction within 6 months of study)
  3. Female patients who are pregnant or breast-feeding.
  4. Patient has a known diagnosis of human immunodeficiency virus (HIV) infection.
  5. Patients received chemotherapy within 2 weeks prior to study entry, unless the disease is rapidly progressing
  6. Patients had a major surgery within 2 weeks prior to entry study
  7. Patient with any significant history of non-compliance to medical regimens or with inability to grant reliable informed consent.
  8. Previous treatment with Glivec®
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00367861

Contacts
Contact: Jean Yves Blay, M.D, Ph.D +33607507064 blay@lyon.fnclcc;fr
Contact: Axel Le Cesne, M.D +33142114211 lecesne@igr.fr

Locations
France
Centre Leon Berard Recruiting
Lyon, France, 69008
Principal Investigator: Isabelle Ray-Coquard, M.D., Ph.D            
Sub-Investigator: David Perol, M.D.            
Sub-Investigator: Jean-Yves Blay, M.D. Ph.D            
Sub-Investigator: Jérôme Fayette, MD            
Institut Gustave Roussy Recruiting
Villejuif, France, 94850
Principal Investigator: Axel Le Cesne, MD            
Hopital Edouard Herriot Recruiting
Lyon, France, 69008
Principal Investigator: Jean-Yves Blay, M.D. Ph.D            
Centre Oscar Lambret Recruiting
Lille, France, 59000
Sub-Investigator: Antoine Adenis, MD            
Institut Bergonié Recruiting
Bordeaux, France, 33000
Sub-Investigator: Binh Bui Nguyen, MD            
Institut Paoli Calmette Recruiting
Marseilles, France, 13000
Sub-Investigator: Patrice Viens, M.D. Ph.D            
Centre Alexis Vautrin Recruiting
Nancy, France, 57000
Sub-Investigator: Maria Rios, M.D.            
Hopitaux de La Timone Recruiting
Marseille, France, 13000
Sub-Investigator: Florence Duffaud, MD Ph D            
Sponsors and Collaborators
Centre Leon Berard
Institut Gustave Roussy
Investigators
Principal Investigator: Jean Yves Blay, M.D., Ph.D Centre Leon Berard, INSERM U590 & Hopital Edouard Herriot
Principal Investigator: Axel Le Cesne, M.D. Institut Gustave Roussy
  More Information

No publications provided

Study ID Numbers: CST1571BFR14, ET2002-021
Study First Received: August 21, 2006
Last Updated: November 1, 2007
ClinicalTrials.gov Identifier: NCT00367861     History of Changes
Health Authority: France: Afssaps - French Health Products Safety Agency

Keywords provided by Centre Leon Berard:
GIST
Glivec®
randomized
phase III

Additional relevant MeSH terms:
Digestive System Neoplasms
Neoplasms by Histologic Type
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Gastrointestinal Diseases
Enzyme Inhibitors
Protein Kinase Inhibitors
Pharmacologic Actions
Imatinib
Neoplasms, Connective and Soft Tissue
Neoplasms
Neoplasms by Site
Digestive System Diseases
Therapeutic Uses
Sarcoma
Gastrointestinal Neoplasms
Gastrointestinal Stromal Tumors

ClinicalTrials.gov processed this record on February 08, 2010